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Cutaneous bacillary angiomatosis.

Mohammed Asharaf¹, S Letha

¹Department of Child Health, Medical College, Kottayam, Kerala, India.

Indian Journal of Pediatrics

|December 31, 2002

Summary

Bacillary angiomatosis, a vascular skin condition caused by Bartonella bacteria, can affect immunocompetent children. Early diagnosis and erythromycin treatment led to complete lesion clearance in a pediatric case.

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Area of Science:

Dermatology
Infectious Diseases
Pediatrics

Background:

Bacillary angiomatosis (BA) presents as vascular lesions due to Bartonella genus bacteria.
While typically seen in immunocompromised individuals, BA can also manifest in immunocompetent hosts.

Observation:

A 5-year-old immunocompetent child developed cutaneous BA after a lip injury.
Lesions appeared on the lips, knees, buttocks, ankles, and elbows, confirmed by histology.

Findings:

Histological examination confirmed bacillary angiomatosis.
Treatment with erythromycin for 3 months resulted in complete resolution of the lesions.

Implications:

This case highlights that bacillary angiomatosis can occur in immunocompetent children.
Awareness of BA is crucial, especially with the rising prevalence of AIDS and potential co-infections.

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